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Review Question - QID 2850

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QID 2850 (Type "2850" in App Search)
Which of the following is the most common anatomical pattern of the sciatic nerve as it exits the pelvis?

As a single nerve, anterior to the piriformis muscle

68%

3157/4627

As a single nerve, posterior to the piriformis muscle

24%

1122/4627

As two branches, both anterior to piriformis muscle

4%

164/4627

As two branches, one anterior to piriformis and one through the piriformis muscle

2%

75/4627

As two branches, both posterior to the piriformis muscle

2%

90/4627

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The most common anatomical pattern is a single sciatic nerve which passes anterior to the piriformis muscle, however it is important to note that there are other common anatomical variants.

Pokorny et al in a study of 91 cadavers found atypical anatomy of the sciatic nerve in almost 21% of cases. The normal anatomy seen in 79% is a single sciatic nerve exiting underneath (passing anterior) to the piriformis. The most common variant, seen in 14%, is the sciatic nerve splitting proximal to the piriformis with one branch passing anterior to and one branch passing through the piriformis.

Illustration A is an anatomic drawing of the sciatic nerve passing anterior to the piriformis.

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